Affidavit of Non Employment

I can no longer worked as a driver considering my physical illness more particularly my eye
defect;
REPUBLIC OF THE PHILIPPINES )

MALOLOS CITY, BULACAN. . . . . ) S.S.
AFFIDAVIT OF NON-EMPLOYMENT
I, FRANCES ALIA S. BERNAS, of legal age, single, Filipino and resident of Brgy.
Liciada, Bustos, Bulacan, after having been duly sworn to in accordance with law, do
hereby depose and say:
1. That I am a presently studying in Bulacan State University (BSU) Malolos-

main Campus;
2. That I am not a government nor a private employee and have no source of

income and depending only with the help of my family;
3. That I am executing this affidavit to attest to the veracity of the facts contained
herein and for whatever legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 28 th day of July, 2017 at
Malolos City, Bulacan.
FRANCES ALIA S. BERNAS

Affiant
SUBSCRIBED AND SWORN to before me this 28 th day of July 2017 at Malolos

City, Bulacan, affiant exhibiting to me her Student ID 15-164986, a competent proof of
identity, and known to me and to me known personally to be the same person who
executed the foregoing Affidavit.
ATTY. BOBBY L. BILLOTE, CPA

COMMISSION NO. PNC 50-MB-2015
NOTARY PUBLIC FOR PROVINCE OF BULACAN
UNTIL DECEMBER 31, 2017
Doc. No. ___; BPSTA BLDG., MALOLOS CITY, BULACAN
Page No. ___; PTR NO. 1792197 – 01/03/17 – Malolos City
Book No. 22; IBP NO. 1040953 – 01/03/17 – Malolos City
Series of 2017. ROLL NO. 52254, MCLE NO. VI-0000382 8-1-16
MALOLOS CITY, BULACAN. . . . .) S.S.
I, SHIRLEY C. ADONA, of legal age, married, Filipino and resident of 225 Gatbuca,
Calumpit, Bulacan, after having been duly sworn to in accordance with law, do hereby depose
and say:
1. – That I am not employed to any private company or government institution

continuously up to present;
2. – That I am executing this affidavit to attest to the veracity of the facts contained
IN WITNESS WHEREOF, I have hereunto set my hand this 13 th day of August, 2010 at
SHIRLEY C. ADONA
Affiant
SUBSCRIBED AND SWORN to before me this 13th day of August, 2010 at Malolos
City, Bulacan, affiant exhibited to me her SSS ID No. 03-8701259-1.
Doc. No. ___; BERNAR D. FAJARDO

Page No. ___; Notary Public
Book No. 85 ; Until December 31, 2010
Series of 2010. P.T.R. No. 1496043
Roll No. 33633
AFFIDAVIT OF NO INCOME
I, ERLINDA R. RAMOS, of legal age, Filipino and resident of Sta. Rita, Guiguinto,
Bulacan, after having been duly sworn to in accordance with law, do hereby depose and say:
That I am a member of Social Security System with SSS No. 33-1934929-7 and as such
I am paying my monthly contribution as self-employed;
That since August, 2010 up to present, I have no means of income;
That I am not employed to any private company or government institution; and
That I am executing this affidavit to attest to the veracity of the facts contained herein and
for whatever legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of February 2011 at
ERLINDA R. RAMOS
Affiant
SUBSCRIBED AND SWORN to before me this 21st day of August, 2011 at Malolos
City, Bulacan.
Doc. No. __; BERNAR D. FAJARDO

Page No. __; Notary Public
Book No.87; Until December 31, 2012
Series of 2011. MCLE III-0019636 12-21-10
P.T.R. No. 4048722
Roll No. 33633
I, ERASMO N. RAMOS, of legal age, Filipino and resident of Central, Balungao,

Calumpit, Bulacan, after having been duly sworn to in accordance with law, do hereby depose
and say:
That I am a member of Social Security System and as such I am paying my monthly

contribution as self-employed;
That since April, 2009 up to present, I have no means of income;
That I am not employed to any private company or government institution;
ERASMO N. RAMOS
Affiant
SUBSCRIBED AND SWORN to before me this 16th day of July, 2009 at Malolos City,
Bulacan.

Book No. 80; Until December 31, 2010
Series of 2009. P.T.R. No. 6964824
Roll No. 33633
MCLE II-0011645
I, PAULINO MANLAPIG CRISTOBAL, of legal age, Filipino and resident of #304

Sapang Bayan, Calumpit, Bulacan, after having been duly sworn to in accordance with law, do

contribution as self-employed;
That since April, 2009 up to present, I have no means of income from farming;
IN WITNESS WHEREOF, I have hereunto set my hand this 24 th day of August, 2009 at
PAULINO MANLAPIG CRISTOBAL

Affiant
SUBSCRIBED AND SWORN to before me this 24 th day of August, 2009 at Malolos

City, Bulacan.

Series of 2009. P.T.R. No. 6964824
Roll No. 33633
MCLE II-0011645
I, RENATO B. FAUSTINO, of legal age, Filipino and resident of #43 Sto. Niño, Iba,
Hagonoy, Bulacan, after having been duly sworn to in accordance with law, do hereby depose
and say:

contribution as self-employed, single proprietorship-tricycle operator;
That since July, 2013 up to present, I have no means of income for the reason that I
already sold said tricycle;
RENATO B. FAUSTINO
Affiant
Valid ID NO. 03-3307247-5
SUBSCRIBED AND SWORN to before me this 10th day of July, 2013 at Malolos City,
Bulacan.

Page No.___; Notary Public
Series of 2013. PTR No. 9473699 Roll No. 33633
MCLE IV-0002533 8-16-11

MALOLOS CITY, BULACAN. . . .) S.S.
AFFIDAVIT OF UNEMPLOYMENT
I, NICOLAS B. CALAYAG, of legal age, married, Filipino and resident of Sumapang
Matanda, Malolos City, Bulacan, after having been duly sworn to in accordance with law, do
That I am a member of Social Security System with SSS No. 33-6453843-5;
That I have no source of income and depending only with the help of my family;
That can no longer worked considering my physical illness more particularly my

Hypertension at age of 60 years old;
IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of December,

2013 at Malolos City, Bulacan.
NICOLAS B. CALAYAG
Affiant
SUBSCRIBED AND SWORN to before me this 20 th day of December, 2013 at Malolos

City, Bulacan, affiant exhibiting to me his OSCA ID No. 07486 , a competent proof of identity,
and known to me and to me known personally to be the same person who executed the foregoing
Affidavit

MCLE IV-0002533 8-16-11

AFFIDAVIT OF NO SOURCE OF INCOME
I, LOLITA G. CALAYAG, of legal age, married, Filipino and resident of Sumapang

That can no longer worked considering my physical illness more particularly my Diabetic
disease at age of 60 years old;
That since January 1, 2013 up to present, I have no income as market vendor due to
diabetic disease;
IN WITNESS WHEREOF, I have hereunto set my hand this 30 th day of April, 2014 at
LOLITA G. CALAYAG
Affiant
SUBSCRIBED AND SWORN to before me this 30 th day of April, 2014 at Malolos City,
Bulacan, affiant exhibiting to me her OSCA ID No. 07485 , a competent proof of identity, and
known to me and to me known personally to be the same person who executed the foregoing
Affidavit
Doc. No. 275; BERNAR D. FAJARDO

Page No. 56; Notary Public
MCLE IV-0002533 8-16-11

I, NICOLAS B. CALAYAG, of legal age, married, Filipino and resident of Sumapang


That can no longer worked considering my physical illness more particularly my Diabetic
disease at age of 60 years old;
That since April 1, 2013 up to present, I have no income as market vendor due to
Hypertension;
NICOLAS B. CALAYAG
Affiant
Bulacan, affiant exhibiting to me his OSCA ID No. 07486, a competent proof of identity, and
known to me and to me known personally to be the same person who executed the foregoing
Affidavit

MCLE IV-0002533 8-16-11

I, WIBINA H. STA RUFINA, of legal age, Filipino and resident of Bliss, Tabe,
Guiguinto, Bulacan, after having been duly sworn to in accordance with law, do hereby depose
and say:
1. That I am a member of Social Security System with SSS No. 03-3892077-1;
2. That recently, I found out from the SSS record that on October 1975 that I was an
employee of Ang Shu and that on November 1978 I was an employee of Fifteen Cents and Up
Department Store;
3. That I was never an employee of Ang Shu and Fifteen Cents and Up Department Store
as appearing on my SSS History Employment Record;
4. That however, it is true that I was an employee on January 1976 of Vitson Mills
Incorporated and of Pinausukan Sea Food House West on June 1979, as also appearing on my
SSS Employment History;
5. That I am executing this affidavit to attest to the veracity of the facts contained herein
and for whatever legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 15 th day of January 2014 at
WIBINA H. STA RUFINA

Affiant
SUBSCRIBED AND SWORN to before me this 15 th day of January, 2014 at Malolos

City, Bulacan, affiant exhibiting to me his SSS ID No. 03-3892077-1, a competent proof of
identity, and known to me and to me known personally to be the same person who executed the
foregoing Affidavit.

MCLE IV-0002533 8-16-11

I, TOMAS SORIANO NUNEZ, of legal age, Filipino and resident of Ligas, Malolos
City, Bulacan, after having been duly sworn to in accordance with law, do hereby depose and
say:
1. That I am a member of Social Security System with SSS No. 03-2479944-0;
2. That recently, I found out from the SSS record that on November 1990 that I was an
employee of National Galleon Shipping Corp.;
3. That I was never an employee of National Galleon Shipping Corp. as appearing on

my SSS History Employment Record;
4. That however, it is true that I was an employee on September 2002 of Veecs Cold
Drinks and Merchand; San Miguel Corporation on July 1991; San Miguel Corporation on March
1984; San Miguel Corporation on November 1997; Marcelo Fiberglass Corporation on February
1975; Suntrust Home Developers, Inc. and A Javiers Gen. Services Agency, as also appearing on
my SSS Employment History;
TOMAS SORIANO NUNEZ

Affiant


MCLE IV-0002533 8-16-11

MALOLOS CITY, BULACAN. . . . . .) S.S.
I, APRIL JOY B. LORENZO, l6 years old, single, Filipino and resident of

Capalangan, Apalit, Pampanga, after having been duly sworn to in accordance with law,
do hereby depose and say:
1. That I am a presently studying at St. Anthony Academy of Bulacan located at

Gatbuca, Calumpit, Bulacan;
2. That I am not employed to any private company or government institution;
3. That I have no source of income and depending only with the help of my
family;
4. That I am executing this affidavit to attest to the veracity of the facts contained
IN WITNESS WHEREOF, I have hereunto set my hand this 2 nd of December 2016,

here at Malolos City, Bulacan.
APRIL JOY B. LORENZO

Affiant
SUBSCRIBED AND SWORN to before me this 2 nd day of December, 2016 at

Malolos City, Bulacan, affiant exhibiting to me her valid ID No. 104804060140, a
competent proof of identity, and known to me and to me known personally to be the
same person who executed the foregoing Affidavit.
Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2016.

MALOLOS CITY, BULACAN )S.S
AFFIDAVIT
I, ROWENA R. ACOSTA, of legal age, married, Filipino and residing at Bagbaguin,

Santa Maria, Bulacan, after having been duly sworn to in accordance with law hereby depose
and say:
That, I am not employed to any private company or government institution;
That my daughter Angel Marie R. Acosta will taking up a course of BA

Mascommunication major in Broadcasting at Bulacan State University (BSU) Malolos City,
Bulacan;
That I am availing of the Scholarship Grant given by the LCCK Scholarship program;
That my daughter has not availed of any other scholarship grant from any other agency or
private organization;
That this affidavit was executed to attest to the truth of the foregoing facts and for use of
this affidavit for all legal intents and purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 8 th of April 2015, here at
ROWENA R. ACOSTA
Affiant
SUBSCRIBED AND SWORN to before me this 8 th day of May, 2015 at Malolos City,
Bulacan, affiant exhibiting to me her valid ID No. UMID 0111-0647281-6, a competent proof of
Doc. No. ___;

Page No.___;
Book No. ___;
Series of 2015.

I, AUREA V. CRUZ, of legal age, single, Filipino and resident of 202 Dahlia St.,
Malolos Heights Subd., Bulihan, Malolos City, Bulacan, after having been duly sworn to in
accordance with law, do hereby depose and say:
That I am a member of Social Security System (SSS) with SSS Number 03-8768155-3;
That the undersigned ceased self employment as buyer since May 1, 2012 to present;
AUREA V. CRUZ
Affiant
Bulacan, affiant exhibiting to me her SSS ID No. 03-8768155-3, a competent proof of identity,
Affidavit

MCLE IV-0002533 8-16-11

I, WIBINA H. STA RUFINA, of legal age, Filipino and resident of Bliss, Tabe,
Guiguinto, Bulacan, after having been duly sworn to in accordance with law, do hereby depose
and say:
That the undersigned ceased self employment since July 1, 2013 to present;
IN WITNESS WHEREOF, I have hereunto set my hand this 30 th day of July 2014 at
WIBINA H. STA RUFINA

Affiant
SUBSCRIBED AND SWORN to before me this 30th day of April, 2014 at Malolos City,
Bulacan, affiant exhibiting to me his SSS ID No. 03-3892077-1, a competent proof of identity,
Affidavit.

MCLE IV-0002533 8-16-11

I, BUENAVENTURA E. SANTOS, of legal age, Filipino and resident of 0300

Sumapang Matanda, Malolos City, Bulacan, after having been duly sworn to in accordance with
law, do hereby depose and say:
That the undersigned ceased self employed as hand and pedal vehicle driver since
August 1, 2014 up to present;
IN WITNESS WHEREOF, I have hereunto set my hand this __ day of _______ 2014 at
BUENAVENTURA E. SANTOS
Affiant
SUBSCRIBED AND SWORN to before me this __ day of ________, 2014 at Malolos


MCLE IV-0002533 8-16-11
I, LETICIA R. SANTOS, of legal age, Filipino and resident of 0300 Sumapang

That the undersigned ceased self employed as sewer/embroiderer since January 5, 2015
up to present;
LETICIA R. SANTOS
Affiant

City, Bulacan, affiant exhibiting to me her SSS No. 33-5486029-4, a competent proof of identity,
Affidavit.
Doc. No. 129; JOSE M. CASTRO

Book No.XXX; Until December 31, 2015
MCLE IV-0002542 8-16-11
AFFIDAVIT
I, CARLITO R. MACALALAG, of legal age, married, Filipino and resident of #64 F. T.

Reyes St., San Juan, Malolos City, Bulacan, after having been duly sworn to in accordance with
law, do hereby depose and say:
That I am not employed to any private company;
That I have no earning from self employment;
That the undersigned ceased self employed as odd job person since February 1, 2014 up
to present;
IN WITNESS WHEREOF, I have hereunto set my hand this 22 nd day of October 2014 at
CARLITO R. MACALALAG
Affiant
SUBSCRIBED AND SWORN to before me this 22 nd day of October, 2014 at Malolos

City, Bulacan, affiant exhibiting to me her SSS ID No. 3-2899758-1, a competent proof of

MCLE IV-0002533 8-16-11
I, ANALYN DOMINGO SURIO, of legal age, single, Filipino and resident of Ilang-
Ilang St., Sumapang Bata, Malolos City, Bulacan, after having been duly sworn to in accordance
with law, do hereby depose and say:
1. That I am a Guidance Counselor by profession;
2. That I am not employed to any private company or government institution;
3. That I have no source of income and depending only with the help of my family;
IN WITNESS WHEREOF, I have hereunto set my hand this 19 th of September 2016,

here at Malolos City, Bulacan.
ANALYN DOMINGO SURIO

Affiant
SUBSCRIBED AND SWORN to before me this 19th day of September, 2016 at Malolos
City, Bulacan, affiant exhibiting to me her COMELEC ID 1410-0482A-C3182ADS20001-7, a
competent proof of identity, and known to me and to me known personally to be the same person
who executed the foregoing Affidavit.
Doc. No. ___;

Page No.___;
Book No. ___;
Series of 2016.

MALOLOS CITY, BULACAN. . . . . . ) S.S.
I, CORAZON L. BAUTISTA, of legal age, married, Filipino and resident
of San Pablo, Hagonoy, Bulacan, after having been duly sworn to in accordance
with law, do hereby depose and say:
1. That I am not employed to any private company or government

institution;
2. That I have no source of income and depending only with the help
of my family;
3. That I am executing this affidavit to attest to the veracity of the

facts contained herein and for whatever legal intents and purposes
it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 15 th of

February 2019, here at Malolos City, Bulacan.
CORAZON L. BAUTISTA
Affiant
SUBSCRIBED AND SWORN to before me this 15 th day of February, 2019

at Malolos City, Bulacan, affiant exhibiting to me her VIN 1409-
01494AH13666CLB20000-8, a competent proof of identity, and known to me
and to me known personally to be the same person who executed the foregoing
Affidavit.
Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2019.

Affidavit of Non Employment

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I can no longer worked as a driver considering my physical illness more particularly my eye

REPUBLIC OF THE PHILIPPINES )

1. That I am a presently studying in Bulacan State University (BSU) Malolos-

2. That I am not a government nor a private employee and have no source of

FRANCES ALIA S. BERNAS

SUBSCRIBED AND SWORN to before me this 28 th day of July 2017 at Malolos

ATTY. BOBBY L. BILLOTE, CPA

1. – That I am not employed to any private company or government institution

Doc. No. ___; BERNAR D. FAJARDO

That since August, 2010 up to present, I have no means of income;

That I am not employed to any private company or government institution; and

Doc. No. __; BERNAR D. FAJARDO

I, ERASMO N. RAMOS, of legal age, Filipino and resident of Central, Balungao,

That I am a member of Social Security System and as such I am paying my monthly

That since April, 2009 up to present, I have no means of income;

That I am not employed to any private company or government institution;

Doc. No. ___; BERNAR D. FAJARDO

I, PAULINO MANLAPIG CRISTOBAL, of legal age, Filipino and resident of #304

That I am a member of Social Security System and as such I am paying my monthly

That I am not employed to any private company or government institution; and

PAULINO MANLAPIG CRISTOBAL

SUBSCRIBED AND SWORN to before me this 24 th day of August, 2009 at Malolos

Doc. No. ___; BERNAR D. FAJARDO

That I am a member of Social Security System and as such I am paying my monthly

That I am not employed to any private company or government institution; and

Doc. No. ___; BERNAR D. FAJARDO

REPUBLIC OF THE PHILIPPINES )

That I am a member of Social Security System with SSS No. 33-6453843-5;

That I am not employed to any private company or government institution;

That can no longer worked considering my physical illness more particularly my

IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of December,

SUBSCRIBED AND SWORN to before me this 20 th day of December, 2013 at Malolos

Doc. No. ___; BERNAR D. FAJARDO

REPUBLIC OF THE PHILIPPINES )

AFFIDAVIT OF NO SOURCE OF INCOME

I, LOLITA G. CALAYAG, of legal age, married, Filipino and resident of Sumapang

That I am not employed to any private company or government institution;

Doc. No. 275; BERNAR D. FAJARDO

REPUBLIC OF THE PHILIPPINES )

AFFIDAVIT OF NO SOURCE OF INCOME

I, NICOLAS B. CALAYAG, of legal age, married, Filipino and resident of Sumapang

That I am not employed to any private company or government institution;

Doc. No. ___; BERNAR D. FAJARDO

REPUBLIC OF THE PHILIPPINES )

1. That I am a member of Social Security System with SSS No. 03-3892077-1;

WIBINA H. STA RUFINA

SUBSCRIBED AND SWORN to before me this 15 th day of January, 2014 at Malolos

Doc. No. ___; BERNAR D. FAJARDO

REPUBLIC OF THE PHILIPPINES )

1. That I am a member of Social Security System with SSS No. 03-2479944-0;

3. That I was never an employee of National Galleon Shipping Corp. as appearing on

TOMAS SORIANO NUNEZ

SUBSCRIBED AND SWORN to before me this 30 th day of January, 2014 at Malolos

Doc. No. ___; BERNAR D. FAJARDO

REPUBLIC OF THE PHILIPPINES )

I, APRIL JOY B. LORENZO, l6 years old, single, Filipino and resident of

1. That I am a presently studying at St. Anthony Academy of Bulacan located at

2. That I am not employed to any private company or government institution;

IN WITNESS WHEREOF, I have hereunto set my hand this 2 nd of December 2016,

APRIL JOY B. LORENZO

SUBSCRIBED AND SWORN to before me this 2 nd day of December, 2016 at

Doc. No. ___;

REPUBLIC OF THE PHILIPPINES )

I, ROWENA R. ACOSTA, of legal age, married, Filipino and residing at Bagbaguin,

SUBSCRIBED AND SWORN to before me this day of ______, 2014 at Malolos